Question

A 58-year-old with acute ischemic stroke arrives 2 hours after onset. BP 182/108 mmHg. Otherwise eligible for alteplase. What should be done before thrombolysis?

Accepted Answer

Lower BP to <185/110 mmHg, then give alteplase

Answer

Proceed without BP control

Answer

Lower BP to <140/90 before alteplase

Answer

Delay alteplase until 4.5 hours

Answer

Administer platelet transfusion first

Practice question

A 58-year-old with acute ischemic stroke arrives 2 hours after onset. BP 182/108 mmHg. Otherwise eligible for alteplase. What should be done before thrombolysis?